NPI Code Details Logo

NPI 1477405868

NPI 1477405868 : RITA REBECCA FRISBEE : HESPERIA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477405868
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RITA REBECCA FRISBEE
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/10/2026
-----------------------------------------------------
    Last Update Date     |    02/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9841 HEMLOCK AVE 
-----------------------------------------------------
    City                 |    HESPERIA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92345-2913
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-763-1917
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9841 HEMLOCK AVE 
-----------------------------------------------------
    City                 |    HESPERIA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92345-2913
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    909-763-1917
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    175T00000X
-----------------------------------------------------
    Taxonomy Name        |    Peer Specialist
-----------------------------------------------------
    License Number       |    MPSS-PVSIGB
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.